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ALABAMA AGRICULTURAL & MECHANICAL UNIVERSITY
REVISED 01/2019
this form
INDIVIDUAL STUDENT TEACH-OUT PLAN
FIRST
MIDDLE
LAST
BANNER ID
PHONE (primary)
PHONE (alternate)
Bulldog Email
EXPECTED GRADUATION (Sem/Yr)
1
st
SEM \ YR ENROLLED
BULLETIN USING
MAJOR
CONCENTRATION
MINOR
TRACK
SPECIALIZATION
* * * NOTE: The above student information must match what is in Banner and DegreeWorks.* * *
COUR
SES NEEDED TO COMPLETE REQUIREMENTS FOR THE DESIRED DEGREE:
Subj/No.
Title
Sem Tkn
Subj/No.
Title
Sem Tkn
If an undergraduate student’s matriculation is interrupted for more than two years, the student must use the current Bulletin in effect at the time of re-entry. This means the eliminated program
they are currently enrolled in will no longer be available.
Student’s Signature
Advisor’s Signature
Chairperson’s Signature
Dean’s Signature
Date of Signature
Print or Type Name
Print or Type Name
Print or Type Name
Office Extension
Office Extension
Office Extension
Date of Signature
Date of Signature
Date of Signature
For Academic Affairs’ Use Only:
Approved: yes no
For Registrar’s Office Use Only:
Authorized Signature of Academic Affairs Date
Date Received
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